Use of an inducing agent for the treatment of blood, viral and cellular disorders
申请人:Perrine, Susan P.
公开号:EP1611885A1
公开(公告)日:2006-01-04
The invention relates to novel compositions and to novel methods for the administration of compositions to a patient or to cells in vitro for the treatment of human disorders. In one embodiment, compositions contain chemical compounds that stimulate the expression of fetal hemoglobin and/or stimulate the proliferation of red blood cells, white blood cells and platelets in patients and ex vivo for reconstitution of hematopoiesis in vivo. These methods are useful to treat or prevent the symptoms associated with anemia, sickle cell disease, thalassemia and other blood disorders. In another embodiment, compositions contain an inducing agent and an anti-viral agent. The inducing agent induces the expression of a cellular or viral product, such as viral thymidine kinase, increasing the sensitivity of proliferating cells to the anti-viral agent. Typical anti-viral agents include nucleoside analogs such as ganciclovir that inhibit viral replication. Methods involve administration of therapeutically effective amounts of the inducing agent with the anti-viral agent to destroy virus-infected cells. Viral infections that can be treated include infections by herpes viruses such as Kaposi's-associated herpes virus and Epstein-Barr virus, HIV infections and HTLV infections. These compositions and methods are particularly effective against episomal and latent infections in proliferating cells. The invention also relates to novel methods for the pulsed administration of compositions to patients for the treatment and prevention of cell proliferative disorders including deficiencies such as cytopenia and malignancies such as viral-induced tumors, other forms of neoplasia and for expansion of cells for hematopoietic transplantation.
本发明涉及治疗人类疾病的新型组合物和向患者或体外细胞施用组合物的新型方法。在一个实施方案中,组合物含有刺激胎儿血红蛋白表达和/或刺激患者体内和体外红细胞、白细胞和血小板增殖以重建体内造血的化合物。这些方法可用于治疗或预防贫血、镰状细胞病、地中海贫血和其他血液疾病的相关症状。在另一个实施方案中,组合物含有一种诱导剂和一种抗病毒剂。诱导剂可诱导细胞或病毒产物(如病毒胸苷激酶)的表达,增加增殖细胞对抗病毒剂的敏感性。典型的抗病毒剂包括核苷类似物,如更昔洛韦,可抑制病毒复制。方法是将治疗有效量的诱导剂与抗病毒剂一起施用,以消灭受病毒感染的细胞。可治疗的病毒感染包括疱疹病毒感染,如卡波济氏相关疱疹病毒和 Epstein-Barr 病毒、HIV 感染和 HTLV 感染。这些组合物和方法对增殖细胞中的表观感染和潜伏感染特别有效。本发明还涉及向患者脉冲式施用组合物的新方法,用于治疗和预防细胞增殖性疾病,包括细胞减少症等缺陷和病毒引起的肿瘤等恶性肿瘤、其他形式的肿瘤以及用于造血移植的细胞扩增。